Lower motor neuron facial

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Facial motor nucleus - Wikipedia
Facial nerve palsy - DocNeuro
Management of Lower Motor Neurone Facial Nerve Palsy
The Facial Nerve (CN VII) | Cranial Nerves | Anatomy . . .
How can you tell the difference between UMN and LMN facial . . .
Facial Palsy - Causes - Differential Diagnosis . . .
Case 112 -- Left Facial Weakness - UPMC
Lower motor neuron - Wikipedia
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The facial motor nucleus is a collection of neurons in the brainstem that belong to the facial nerve (cranial nerve VII) . These lower motor neurons innervate the muscles of facial expression and the stapedius .
Lesions of the facial nerve cause paralysis of the top and bottom part of the face ipsilateral to the lesion . This is the classic "lower motor neuron" lesion of facial paralysis, and produces a facial nerve palsy . The paresis is called a Bell's Palsy when the etiology for a facial nerve palsy is not known .
Bell's Palsy (idiopathic lower motor neurone facial nerve) palsy occurs in 1 in 60 people in their lifetime and is a diagnosis of exclusion . The proximity of the New Forest increases the prevalence of Lyme's disease in this region . The prevalence of Lyme disease has a bimodal distribution with peaks at 5-9 years and 45-59 years (2) .
An infranuclear lesion (referred to as a lower motor neuron lesion) will cause paralysis or weakness in both the upper and lower halves of the face . After determining this, it can then be useful to think of pathologies as intracranial or extracranial . We know that the motor and sensory fibres for the facial nerve travel together intracranially .
Therefore, upper motor neuron lesions, such as a stroke, cause contralateral face weakness sparing the forehead, while lower motor neuron lesions, such as a facial nerve injury, typically cause weakness involving the whole ipsilateral face .
Patients with a Bell's Palsy will present with varying severity of painless unilateral lower motor neuron (LMN) weakness of the facial muscles (Fig . 2) . Depending on the severity and the proximity of the nerve affected, it can also result in: Inability to close their eye (temporal and zygomatic branches) Hyperacusis (nerve to stapedius)
Neurological examination showed a left lower motor neuron facial weakness and left periocular fasciculations . His fundi and visual fields were normal . There was decreased sensation to pin prick in the distribution of left infra-orbital branch of the trigeminal nerve . The motor branch of the trigeminal was intact .
Cranial nerve lower motor neurons control movements of the eyes, face and tongue, and contribute to chewing, swallowing and vocalization . Damage to the lower motor neurons can lead to flaccid paralysis, absent deep tendon reflexes and muscle atrophy .
The facial motor nucleus has dorsal and ventral divisions that contain lower motor neurons supplying the muscles of the upper and lower face, respectively .
Clinical presentation . lower motor neuron facial nerve palsy proximal to geniculate ganglion hence including loss of sensation of the taste in anterior two-thirds of the tongue and hyperacusis; diplopia; horizontal conjugate gaze palsy (including internuclear ophthalmoplegia); Note that all symptoms are not invariably present in every patient .
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Lower motor neuron facial